Interactions between the renin-angiotensin system and dyslipidemia: relevance in atherogenesis and therapy of coronary heart disease.
Indian Heart J
;
2001 Jul-Aug; 53(4): 511-8
Artigo
em Inglês
| IMSEAR
| ID: sea-4251
ABSTRACT
Hypertension and hypercholesterolemia, two major risk factors for atherosclerotic disease, frequently coexist in patients with hypertension and CAD. Data from clinical studies suggest the existence of lipoprotein-neurohormonal interactions that may adversely affect vascular structure and reactivity. Data from preclinical studies suggest that RAS may be upregulated by abnormal lipids, most likely via production of ox-LDL. On the other hand, activation of RAS leads to release of ROS and transcriptional upregulation of LDL and ox-LDL uptake in macrophages, smooth muscle cells and endothelial cells. These findings extend our understanding of the interplay among risk factors to synergistically increase cardiovascular risk, and of the anti-atherosclerotic effects of local ACE inhibition to reduce cardiovascular risk. Trials aimed at modifying RAS along with drugs lowering total- and LDL-cholesterol levels and inhibitors of oxidative modification of LDL-cholesterol will address the clinical relevance of this biological interaction.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Arteriosclerose
/
Coelhos
/
Sistema Renina-Angiotensina
/
Humanos
/
Doença das Coronárias
/
Hiperlipidemias
/
Animais
Tipo de estudo:
Fatores de risco
Idioma:
Inglês
Revista:
Indian heart j
Ano de publicação:
2001
Tipo de documento:
Artigo
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